Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode

Over the last twenty years, many studies have used enthesopathies as an indicator of the behaviour of past populations. However, in these works, the distinction between healthy and pathological aspects has been arbitrary. Moreover the lack of standardised observation methods exacerbates this problem...

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Main Author: Sébastien Villotte
Format: Article
Language:English
Published: Société d'Anthropologie de Paris 2006-06-01
Series:Bulletins et Mémoires de la Société d’Anthropologie de Paris
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Online Access:https://journals.openedition.org/bmsap/1325
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author Sébastien Villotte
author_facet Sébastien Villotte
author_sort Sébastien Villotte
collection DOAJ
description Over the last twenty years, many studies have used enthesopathies as an indicator of the behaviour of past populations. However, in these works, the distinction between healthy and pathological aspects has been arbitrary. Moreover the lack of standardised observation methods exacerbates this problem and limits the comparison between different studies. The aim of this study is to propose a new method of studying enthesopathies based on present medical data. It is possible to distinguish two types of entheses according to the nature of the tissue of insertion: fibrous or fibrocartilaginous. The variations between normal and pathological aspects based on this distinction enable the proposition of four generic scoring systems. These systems were applied to 18 sites of appendicular insertions and spinal column insertions of yellow ligaments. Under each system, three scoring stages are defined representing different stages of the remodelling process. The first three groups include fibrocartilaginous insertions. We used anatomical and anatomopathological descriptions to define the stages. Such descriptions are rare for the fourth group which concerns fibrous insertions. With this method, intra- and inter-observer errors are less than 10%. Application of this scoring method on archaeological skeletons of known age, sex and activity would allow us to discuss the respective relevance of the use of fibrous and fibrocartilaginous entheses for the interpretation of behaviour and activities of past human populations.
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spelling doaj-art-871e4ba4e7ee4aebbc472e342fc8253b2025-01-30T11:27:55ZengSociété d'Anthropologie de ParisBulletins et Mémoires de la Société d’Anthropologie de Paris1777-54692006-06-01182658510.4000/bmsap.1325Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthodeSébastien VillotteOver the last twenty years, many studies have used enthesopathies as an indicator of the behaviour of past populations. However, in these works, the distinction between healthy and pathological aspects has been arbitrary. Moreover the lack of standardised observation methods exacerbates this problem and limits the comparison between different studies. The aim of this study is to propose a new method of studying enthesopathies based on present medical data. It is possible to distinguish two types of entheses according to the nature of the tissue of insertion: fibrous or fibrocartilaginous. The variations between normal and pathological aspects based on this distinction enable the proposition of four generic scoring systems. These systems were applied to 18 sites of appendicular insertions and spinal column insertions of yellow ligaments. Under each system, three scoring stages are defined representing different stages of the remodelling process. The first three groups include fibrocartilaginous insertions. We used anatomical and anatomopathological descriptions to define the stages. Such descriptions are rare for the fourth group which concerns fibrous insertions. With this method, intra- and inter-observer errors are less than 10%. Application of this scoring method on archaeological skeletons of known age, sex and activity would allow us to discuss the respective relevance of the use of fibrous and fibrocartilaginous entheses for the interpretation of behaviour and activities of past human populations.https://journals.openedition.org/bmsap/1325fibrocartilaginous enthesesfibrous enthesesscoring systementhesopathies
spellingShingle Sébastien Villotte
Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
Bulletins et Mémoires de la Société d’Anthropologie de Paris
fibrocartilaginous entheses
fibrous entheses
scoring system
enthesopathies
title Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
title_full Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
title_fullStr Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
title_full_unstemmed Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
title_short Connaissances médicales actuelles, cotation des enthésopathies : nouvelle méthode
title_sort connaissances medicales actuelles cotation des enthesopathies nouvelle methode
topic fibrocartilaginous entheses
fibrous entheses
scoring system
enthesopathies
url https://journals.openedition.org/bmsap/1325
work_keys_str_mv AT sebastienvillotte connaissancesmedicalesactuellescotationdesenthesopathiesnouvellemethode